Report #2830865

Received Mar 12, 2025

Office visit

A note on interpretation. VAERS reports are unverified and may be incomplete or coincidental. A report does not establish that a vaccine caused an event, and counts should not be used to calculate incidence or infer causation. Full disclaimer

Overview

Sex: Male
Age: 21 yrs
State: TX
Recovered: Recovered
Vaccinated: Mar 5, 2025
Onset: Mar 1, 2025
Days to onset: —
Hospital days: —

Vaccines (4)

Type	Name	Manufacturer	Dose	Lot	Route / Site
ANTH	ANTHRAX (BIOTHRAX)	EMERGENT BIOSOLUTIONS	2	300215A	IM / LA
HEP	HEP B (ENGERIX-B)	GLAXOSMITHKLINE BIOLOGICALS	2	T5D73	IM / LA
JEV1	JAPANESE ENCEPHALITIS (IXIARO)	INTERCELL AG	2	JEV23K07E	IM / RA
MMR	MEASLES + MUMPS + RUBELLA (MMR II)	MERCK & CO. INC.	2	Y009782	SC / RA

Symptoms (3)

Computerised tomogram head normalEye movement disorderFall

Symptom narrative

A few minutes after his vaccination at the front desk, patient rolled his eyes back and fell backward onto the floor. Based line vital signs were obtained and were normal, provider did head exam and palpation throughout the head for head trauma injury and other injury throughout his body. Patient stayed in the clinic for 2-hours for further observation. Patient denies head/neck pain, tenderness, headache, nauseous or vomiting, neurologic symptoms, and other injury. Both Canadian head CT tool and Nexus head CT instrument were negative 0. DVPRS pain scale was 0 pain. Patient was discharged without any finding, he refused for ER visit, and all vital signs obtained were normal.

Current illness

None

Medical history

None

Other medications

Unknown

Allergies

Not known allergies

Lab data

None